La Shaunm Denise Dixon

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

License

A3570635 Issued in CA

Practice address

216 S Citrus St # 452
West Covina, CA 91791-2144

Phone

(909) 997-6398

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1114742350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S CITRUS ST # 452",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912144",
            "telephone_number": "909-997-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S CITRUS ST # 452",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912144",
            "telephone_number": "909-997-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LA SHAUNM",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "CA",
            "license": "A3570635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Ding, PT, DPT
• Mai Dinh
• Joy Santillana Diores, NP
• Stephanie Grace Distelrath, SLPA
• Divine Infusion
• Alexis Mae Dizon, FNP-C
• Marie Beverly Dizon, D.D.S., M.S.
• Dmitry Tubis D.D.S., Inc.
• Jonathan DO, D.D.S.
• Min C DO, DDS

• Transportation Network Company in West Covina, CA
• Providers in West Covina, CA by specialty
• Transportation Network Company in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.